Provider Demographics
NPI:1386750438
Name:LUONG, DANNY B (MD)
Entity type:Individual
Prefix:DR
First Name:DANNY
Middle Name:B
Last Name:LUONG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:200 JOSE FIGUERES AVE
Mailing Address - Street 2:350
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1500
Mailing Address - Country:US
Mailing Address - Phone:408-923-8138
Mailing Address - Fax:408-723-8140
Practice Address - Street 1:200 JOSE FIGUERES AVE
Practice Address - Street 2:350
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1500
Practice Address - Country:US
Practice Address - Phone:408-923-8138
Practice Address - Fax:408-723-8140
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2011-09-03
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Provider Licenses
StateLicense IDTaxonomies
CAG080573207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G805730Medicaid
CA1972512176OtherGROUP NPI
00G805730Medicare ID - Type Unspecified
CA1972512176OtherGROUP NPI
CA5797900001Medicare NSC
CA00G805730Medicaid